NPI age
5 years
Enumerated 2020-06-24
● Active Type 2 · Organization
Eyedaho Optometric Llc
Eyedaho Optometric Llc is 1 of 145 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dickson
Owner
Last NPPES update
2020-06-24
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
5 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-06Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
500 S Utah Ave
Idaho Falls, ID 834023305
Mailing address
2951 Stonewood Cir
Ammon, ID 834068123
Authorized official
Trevor Dickson, OD
Owner
📞 2087095371
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Brian Christenson Pharmacist NPI 1548632961
- Trevor Dickson, OD Optometrist NPI 1588280176
- Jennifer Gunter, PHARMD Pharmacist NPI 1528513504
- Michelle Hall Pharmacist NPI 1922408137
- Joe Holland Pharmacist NPI 1588063788
- Leili Izadi Pharmacist NPI 1144693052
- Golden Smith, O.D. Optometrist NPI 1154432938
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.